Individual
KATHERINE MARY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 CHAMPLIN AVE, UTICA, NY 13502-4801
(315) 624-8900
Mailing address
1650 CHAMPLIN AVE, UTICA, NY 13502-4801
(315) 624-8900
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
310510
NY
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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